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    What causes a pea sized knot on the abdomen?

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Posted on Fri, 11 Aug 2017 in Lump
Question: My wife has a small knot about pea size on her right side. If you imagin a line from her belly button around to the right side and just above the waist line. You can only feel if you push in about 1/2 inch. It is painful if touched. She is known to have cysts on her overies but I would thing that would be more to the front. No other symptoms
doctor
Answered by Dr. T Chandrakant 25 minutes later
Brief Answer:
Needs Ultrasound and guided FNAC

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
Note the history about about your wife and understood your concerns.
Such a small knot that is deep seated in the abdominal wall that can be felt on deep palpation is usually due to the following reasons.
- Lump that can not be really defined only on history; can be neuroma or so.
- Lipoma is a possibility but usually moves easily and usually painless/ non-tender.
- Sebaceous cyst: being from the dermis, is usually very superficial and easily palpable and non-tender.

This is not related to the ovarian cysts.
Hence I would advise you the following:
Ultrasonography and ultrasound guided FNAC that is fine needle aspiration cytology can give the most proper diagnosis and plan whether to remove this or not.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. T Chandrakant 7 minutes later
It does not feel hard it seems to move a little when pressing on it. She was worried about cancer and such. It feels almost like it is on muscle or tendons. Does that make any sense
doctor
Answered by Dr. T Chandrakant 10 minutes later
Brief Answer:
Tissue diagnosis is the only way.

Detailed Answer:
I can understand the concerns that you both have.
I may not be a cancer; unless proved otherwise.
Hence the necessity of Ultrasound and FNAC and if possible excision.
Removal makes two things possible:
One gets rid of the lump which is not a normal part o the body.
And one gets a 100% diagnosis by histopathology reports and stress free.

Cancer should be talked about only after tissue confirmation to get the stress and anxiety-free.
I hope this helps you both, further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant 22 minutes later
If I may ask one more thing. What organs are in that area and it sounds like it is most likely something benign?
doctor
Answered by Dr. T Chandrakant 50 minutes later
Brief Answer:
As detailed.

Detailed Answer:
If he lump is in the abdominal wall, there are no organs.
Deep down there are kidney, ascending colon, small intestine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 13473 Questions

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